Managing Maintenance Error A Practical Guide

ISBN-10: 075461591X
ISBN-13: 9780754615910
Edition: 2003
List price: $34.95 Buy it from $12.94
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Description: The authors' central contention is that whilst the risk of maintenance error in various industries cannot be eliminated, it can be managed more effectively. They study human factors that affect maintenance, with reference to the airplane industry.

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Book details

List price: $34.95
Copyright year: 2003
Publisher: CRC Press LLC
Publication date: 5/28/2003
Binding: Paperback
Pages: 200
Size: 6.00" wide x 9.00" long x 0.50" tall
Weight: 0.682
Language: English

The authors' central contention is that whilst the risk of maintenance error in various industries cannot be eliminated, it can be managed more effectively. They study human factors that affect maintenance, with reference to the airplane industry.

List of Figures
List of Tables
Preface
Human Performance Problems in Maintenance
The bad news
The good news
Removal versus replacement
Commission versus omission errors
Summary
The Human Risks
Taking a systems view
Systems with human elements
Human-related disturbances
Each disturbance has a history
Systems build defences against foreseeable disturbances
System defences can also fail
The moral issue
Errors are like mosquitoes
Looking ahead
The Fundamentals of Human Performance
Psychology meets engineering
A 'blueprint' of mental functioning
Limitations of the conscious workspace
Attention
The vigilance decrement
Attention and habit
Control modes and situations
Three performance levels
Stages in acquiring a skill
Fatigue
Stressors
Arousal
Coping with informational overload
Personality types
Biases in thinking and decision making
Summary
The Varieties of Error
What is an error?
Skill-based recognition failures, slips and lapses
Rule-based mistakes
Knowledge-based errors
Violations
Violation types
The consequences of maintenance errors
Summary
Local Error-provoking Factors
Documentation
Time pressure
Housekeeping and tool control
Coordination and communication
Tools and equipment
Fatigue
Knowledge and experience
Bad procedures
Procedure usage
Personal beliefs: a factor promoting violations
Links between errors and error-provoking conditions
Summary
Three System Failures and a Model of Organizational Accidents
Latent conditions and active failures
The Embraer 120 crash: a shift turnover failure
The Clapham Junction rail collision: the defences that faded away
The Piper Alpha explosion: Failures of both the permit-to-work and the shift handover systems
Modelling organizational accidents
Defences
Summary
Principles of Error Management
Nothing new
The principles of error management
The management of error management
Summarizing the EM principles
Person and Team Measures
Person measures
Team measures
Summary
Workplace and Task Measures
Fatigue management
Task frequency
Design
Housekeeping
Spares, tools and equipment
Using procedures to manage omissions
Summary
Organizational Measures
How accidents happen: a reminder
Reactive and proactive measures: working together
Reactive outcome measures
Proactive process measures
Identifying gaps in the defences
Summary
Safety Culture
What is a safety culture?
Can a safer culture be engineered?
Creating a just culture
Creating a reporting culture
Creating a learning culture
Types of safety culture: the good, the bad and the average
Summary
Making it Happen: The Management of Error Management
Here comes another one
The common features of safety and quality management systems
Why error management is necessary
More on mindset
In search of resilience
Summary
Index

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